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1356878680
TIMOTHY DANIEL WALTERS
JACKSONVILLE BEACH, FL
NPI
1356878680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT29493)
Enumeration Date
2017-05-17
Last Update Date
2017-05-17
Business Address
TIMOTHY DANIEL WALTERS PT
1700 THE GREENS WAY
JACKSONVILLE BEACH, FL 32250-2494
Phone number: 248-450-3159
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Mailing Address
TIMOTHY DANIEL WALTERS PT
PO BOX 1975
ROME, GA 30162-1975
Phone number: 248-450-3159
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